Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jackie Sue Shank, RD

Individual provider Registered Dietitian · NPI 1427178425

MS. Jackie Sue Shank, RD is a Registered Dietitian in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

401 Porpoise Point Dr
St Augustine, FL 32084-2959
Phone: (904) 826-4307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND812 (FL)

Record details

NPI number1427178425
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedMarch 31, 2007
Last updated in NPPESJuly 8, 2007

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